To assist our team in having the best information about your cat prior to their appointment, please fill out this health questionnaire.

Please remember that our hospital is still taking additional precautions regarding COVID safety. Most services will allow you to accompany your cat inside, but ALL services require clients to wait in their vehicle and check-in by phone prior to entering the building.

For more details regarding our processes, please view our current COVID Protocols.

Pre-Exam Questionnaire

Medical History Questionnaire
  • This is the number we will attempt to reach you at during your car-side check-in
  • What concerns or questions do you have today?
  • Please select if your pet is Indoor, Outdoor, or Both
  • Please describe any changes in behavior or activity level. (Type NONE, if no changes)
  • Does your cat eat wet food or dry food
  • How much and how often do you feed your cat?
  • Please describe any changes in appetite or drinking behavior. (Type NONE, if no changes)
  • Have you noticed any of the following?
  • If you have noticed any of these health issues, when did you first notice, and how often is it happening?
  • Please describe any changes or concerns regarding the following: Stool Color, Consistency, Odor, Urination amount/size of clumps, Frequency, Color, or Vocalization/apparent pain associated with urination or defecation. (Type NONE, if no changes)
  • Please include the name, dose, frequency of any medications you give your cat. (Type NONE, if no medications)
  • Has your cat been seen by another clinic recently? Please list the name of the clinic we may contact to request previous records. (Type NONE, if no recent previous records with another clinic)
  • Is there anything else you think we need to know?
  • Tell us one thing you love about your cat.